Objective evaluation of the quality of movement in daily life after stroke

Fokke van Meulen, Bart Klaassen, Jeremia Held, Jasper Reenalda, Jaap Buurke, Bernhard J.F. van Beijnum, Andreas Luft, Petrus H. Veltink

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)
23 Downloads (Pure)

Abstract

Stroke survivors are commonly left with disabilities that impair activities of daily living. The main objective of their rehabilitation program is to maximize the functional performance at home. However, the actual performance of patients in their home environment is unknown. Therefore, objective evaluation of daily life activities of stroke survivors in their physical interaction with the environment is essential for optimal guidance of rehabilitation therapy. Monitoring daily life movements could be very challenging, as it may result in large amounts of data, without any context. Therefore, suitable metrics are necessary to quantify relevant aspects of movement performance during daily life. The objective of this study is to develop data processing methods, which can be used to process movement data into relevant metrics for the evaluation of intra-patient differences in quality of movements in a daily life setting. Based on an iterative requirement process, functional and technical requirements were formulated. These were prioritized resulting in a coherent set of metrics. An activity monitor was developed to give context to captured movement data at home. Finally, the metrics will be demonstrated in two stroke participants during and after their rehabilitation phases. By using the final set of metrics, quality of movement can be evaluated in a daily life setting. As example to demonstrate potential of presented methods, data of two stroke patients were successfully analyzed. Differences between in-clinic measurements and measurements during daily life are observed by applying the presented metrics and visualization methods. Heel height profiles show intra-patient differences in height, distance, stride profile, and variability between strides during a 10-m walk test in the clinic and walking at home. Differences in distance and stride profile between both feet were larger at home, than in clinic. For the upper extremities, the participant was able to reach further away from the pelvis and cover a larger area. Presented methods can be used for the objective evaluation of intra-patient differences in movement quality between in-clinic and daily life measurements. Any observed progression or deterioration of movement quality could be used to decide on continuing, stopping, or adjusting rehabilitation programs.
Original languageUndefined
Pages (from-to)1-11
Number of pages11
JournalFrontiers in bioengineering and biotechnology
Volume3
Issue number210
DOIs
Publication statusPublished - 13 Jan 2016

Keywords

  • Stroke
  • Technology assessment
  • EWI-26668
  • BSS-Biomechatronics and rehabilitation technology
  • IR-98993
  • Daily life
  • Inertial Sensing
  • Rehabilitation
  • METIS-315146
  • Data processing

Cite this

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title = "Objective evaluation of the quality of movement in daily life after stroke",
abstract = "Stroke survivors are commonly left with disabilities that impair activities of daily living. The main objective of their rehabilitation program is to maximize the functional performance at home. However, the actual performance of patients in their home environment is unknown. Therefore, objective evaluation of daily life activities of stroke survivors in their physical interaction with the environment is essential for optimal guidance of rehabilitation therapy. Monitoring daily life movements could be very challenging, as it may result in large amounts of data, without any context. Therefore, suitable metrics are necessary to quantify relevant aspects of movement performance during daily life. The objective of this study is to develop data processing methods, which can be used to process movement data into relevant metrics for the evaluation of intra-patient differences in quality of movements in a daily life setting. Based on an iterative requirement process, functional and technical requirements were formulated. These were prioritized resulting in a coherent set of metrics. An activity monitor was developed to give context to captured movement data at home. Finally, the metrics will be demonstrated in two stroke participants during and after their rehabilitation phases. By using the final set of metrics, quality of movement can be evaluated in a daily life setting. As example to demonstrate potential of presented methods, data of two stroke patients were successfully analyzed. Differences between in-clinic measurements and measurements during daily life are observed by applying the presented metrics and visualization methods. Heel height profiles show intra-patient differences in height, distance, stride profile, and variability between strides during a 10-m walk test in the clinic and walking at home. Differences in distance and stride profile between both feet were larger at home, than in clinic. For the upper extremities, the participant was able to reach further away from the pelvis and cover a larger area. Presented methods can be used for the objective evaluation of intra-patient differences in movement quality between in-clinic and daily life measurements. Any observed progression or deterioration of movement quality could be used to decide on continuing, stopping, or adjusting rehabilitation programs.",
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Objective evaluation of the quality of movement in daily life after stroke. / van Meulen, Fokke; Klaassen, Bart; Held, Jeremia; Reenalda, Jasper; Buurke, Jaap; van Beijnum, Bernhard J.F.; Luft, Andreas; Veltink, Petrus H.

In: Frontiers in bioengineering and biotechnology, Vol. 3, No. 210, 13.01.2016, p. 1-11.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Objective evaluation of the quality of movement in daily life after stroke

AU - van Meulen, Fokke

AU - Klaassen, Bart

AU - Held, Jeremia

AU - Reenalda, Jasper

AU - Buurke, Jaap

AU - van Beijnum, Bernhard J.F.

AU - Luft, Andreas

AU - Veltink, Petrus H.

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AB - Stroke survivors are commonly left with disabilities that impair activities of daily living. The main objective of their rehabilitation program is to maximize the functional performance at home. However, the actual performance of patients in their home environment is unknown. Therefore, objective evaluation of daily life activities of stroke survivors in their physical interaction with the environment is essential for optimal guidance of rehabilitation therapy. Monitoring daily life movements could be very challenging, as it may result in large amounts of data, without any context. Therefore, suitable metrics are necessary to quantify relevant aspects of movement performance during daily life. The objective of this study is to develop data processing methods, which can be used to process movement data into relevant metrics for the evaluation of intra-patient differences in quality of movements in a daily life setting. Based on an iterative requirement process, functional and technical requirements were formulated. These were prioritized resulting in a coherent set of metrics. An activity monitor was developed to give context to captured movement data at home. Finally, the metrics will be demonstrated in two stroke participants during and after their rehabilitation phases. By using the final set of metrics, quality of movement can be evaluated in a daily life setting. As example to demonstrate potential of presented methods, data of two stroke patients were successfully analyzed. Differences between in-clinic measurements and measurements during daily life are observed by applying the presented metrics and visualization methods. Heel height profiles show intra-patient differences in height, distance, stride profile, and variability between strides during a 10-m walk test in the clinic and walking at home. Differences in distance and stride profile between both feet were larger at home, than in clinic. For the upper extremities, the participant was able to reach further away from the pelvis and cover a larger area. Presented methods can be used for the objective evaluation of intra-patient differences in movement quality between in-clinic and daily life measurements. Any observed progression or deterioration of movement quality could be used to decide on continuing, stopping, or adjusting rehabilitation programs.

KW - Stroke

KW - Technology assessment

KW - EWI-26668

KW - BSS-Biomechatronics and rehabilitation technology

KW - IR-98993

KW - Daily life

KW - Inertial Sensing

KW - Rehabilitation

KW - METIS-315146

KW - Data processing

U2 - 10.3389/fbioe.2015.00210

DO - 10.3389/fbioe.2015.00210

M3 - Article

VL - 3

SP - 1

EP - 11

JO - Frontiers in bioengineering and biotechnology

JF - Frontiers in bioengineering and biotechnology

SN - 2296-4185

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ER -